45D2211841 CLIA NUMBER - CHRISTUS ST JOSEPH VILLAGE

Laboratory Demographics

  • CLIA Code: 45D2211841
  • Facility Name: CHRISTUS ST JOSEPH VILLAGE
  • Facility Address: 1201 E SANDY LAKE RD
    COPPELL, TX
    ZIP 75019
  • Facility Phone: 972 304-0300
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MITHU SHRESTHA
  • NPI Number: 1316076888
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2211841
LAB Type Assisted Living Facility
Facility Name CHRISTUS ST JOSEPH VILLAGE
Street 1201 E SANDY LAKE RD
City COPPELL
State TX
ZIP 75019
Phone 972 304-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Assisted Living Facility
Lab Director MITHU SHRESTHA

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This page was last updated on: 9/29/2025